Epidural infiltration of glucocorticoids and local anesthetics in the treatment of non-specific back pain

Yu.V. Volkova, R.P. Chaplynskyy, Yu.O. Babaljan, M.S. Kalashnikov, A.V. Omelchenko-Seljukova


Background. Chronic nonspecific back pain is a common and cost-intensive musculoskeletal syndrome in young working-age people around the world. The aim of research was to evaluate the effectiveness of epidural injection of local anesthetics and steroids in patients with nonspecific back pain associated with degenerative-dystrophic lesions of various parts of the spine and to determine its effect on improving the quality of life of these patients. Materials and methods. The results of treatment were analyzed in 71 patients aged 36 to 74 years, who underwent treatment for chronic nonspecific back pain at the Center for Pain Management and neurology department of Municipal Healthcare Institution “Regional Clinical Hospital — Center for Emergency Medical Care and Disaster Medicine” from 2016 to 2017. Patients were divided into 2 groups: the main group — 38 people, who received epidural steroids and local anesthetic solution as a monotherapy, and 33 patients with standard conservative treatment. Results. As a result of the therapy, patients reported reduced back pain, improved overall well-being and quality of life. However, pain level in main group was 1.7 times lower compared to the controls 6 weeks after treatment. The improvement in vital activity and overall functioning was twice as good compared with the results before the treatment in the main group, but patients of the control group did not achieve this result even 6 months after the treatment. Conclusions. Based on the study results we concluded that the epidural injections of steroid solution and local anesthetic in patients with chronic nonspecific back pain can be used when modeling pain syndrome. The positive dynamics according to questionnaires and scales confirmed active restoration of neurological status, ability to self-service and the quality of life of patients.


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